ATI LPN
Questions on the Immune System Questions
Question 1 of 5
Which of the following would the nurse expect to assess as the MOST common presenting manifestation of Wilms’ Tumor?
Correct Answer: D
Rationale: The correct answer is D: Abdominal mass. In Wilms' Tumor, the most common presenting manifestation is an abdominal mass due to the tumor in the kidney. This mass is usually painless and firm. Hematuria (A) is less common in Wilms' Tumor and may not be present initially. Pain on voiding (B) is not a typical symptom of Wilms' Tumor. Nausea and vomiting (C) are also less common presenting symptoms compared to the characteristic abdominal mass. Therefore, the nurse would expect to assess an abdominal mass as the most common presenting manifestation of Wilms' Tumor.
Question 2 of 5
An adolescent with a history of surgical repair for undescended testes (cryptorchidism) comes to the clinic for a sports physical. Anticipatory guidance for the parents and adolescent would focus on which of the following as most important?
Correct Answer: C
Rationale: The correct answer is C, technique for monthly testicular self-examinations. This is important because individuals with a history of cryptorchidism are at higher risk for testicular cancer. Monthly self-examinations can help in early detection and improve outcomes. Choice A is incorrect because sterility is not the main concern in this scenario. Choice B is incorrect as future plans are not directly related to the health issue at hand. Choice D is incorrect as psychosocial support, while important, is not the most crucial aspect in this situation.
Question 3 of 5
A neonate is fed 20 mL of formula every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which action by the nurse is the most appropriate?
Correct Answer: A
Rationale: The correct answer is A: Withhold the feeding and notify the healthcare provider. The rationale for this is that aspirating 15 mL of gastric residual indicates delayed gastric emptying or potential risk of aspiration. Withholding the feeding and informing the healthcare provider allows for further assessment and potential interventions to prevent complications. Choice B is incorrect because replacing the residual and continuing with the full feeding may increase the risk of aspiration or other complications. Choice C is incorrect as giving only 5 mL of the feeding does not address the underlying issue of delayed gastric emptying. Choice D is incorrect as waiting three hours to check the residual without taking immediate action may lead to further complications if the issue persists.
Question 4 of 5
During a well-child physical, an adolescent female has a normal history and physical except for an excessive amount of tooth enamel erosion, a greater-than-normal number of filled cavities, and calluses on the back of her hand. Her body mass index is in the 50th to 75th percentile for her age. Which disorder is the nurse concerned about based on the assessment findings
Correct Answer: C
Rationale: The correct answer is C: Bulimia nervosa. The excessive tooth enamel erosion, filled cavities, and calluses on the back of the hand are indicative of self-induced vomiting, which is a common behavior in individuals with bulimia nervosa. The body mass index being in the 50th to 75th percentile suggests that the individual is not severely underweight, ruling out anorexia nervosa, kwashiorkor, and marasmus. Bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting, which can lead to dental problems and calluses from inducing vomiting.
Question 5 of 5
Which assessment finding in a preschooler would suggest the need for further investigation?
Correct Answer: D
Rationale: The correct answer is D because a 2-lb weight gain in 12 months could indicate a potential health concern such as obesity or an underlying medical condition. This finding warrants further investigation by healthcare professionals to assess the child's overall health and well-being. A, B, and C are incorrect choices as they are typical developmental milestones for preschoolers. Independence in dressing, riding a tricycle, and having an imaginary friend are all considered normal behaviors at this age and do not necessarily indicate a need for further investigation unless there are other concerning factors present.